Individual
MR. LANE KEYES BELANGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1451 GAMBIER RD, MOUNT VERNON, OH 43050-9112
(740) 502-0693
Mailing address
21301 COUNTY ROAD 18, WALHONDING, OH 43843-9717
(740) 327-2402
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
03394
OH
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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